Healthcare Provider Details

I. General information

NPI: 1710550397
Provider Name (Legal Business Name): CLAIRE E SHERIDAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 S AIRPORT RD W UNIT C
TRAVERSE CITY MI
49684-4718
US

IV. Provider business mailing address

544 GIDDINGS AVE SE
GRAND RAPIDS MI
49506-2735
US

V. Phone/Fax

Practice location:
  • Phone: 616-406-7495
  • Fax:
Mailing address:
  • Phone: 616-406-7495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301011126
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: